Table 3 Rank order of severity of manic symptoms by age group (symptoms are reported as mean score or  %)
McElroy et al. (1997)a | Birmaher et al. (2009)b,c | Safer et al. (2012)a | |||
|---|---|---|---|---|---|
Mean ± SD | Mean ± SD | POMPd (%) | |||
Adolescent | Adult | Child | Adolescent | Child/adolescent | Adult |
Increased motor activity  (2.5 ± 1.4) | Bizarre/grandiose thought content (3.2 ± 1.4) | High energy (4.3 ± 1.4) | High energy (4.8 ± 1.0) | Irritability (17) | Grandiosity (16) |
Delusions  (2.1 ± 1.7) | Delusions (2.7 ± 1.4) | Increased motor activity (4.3 ± 1.2) | Decreased need for sleep (4.5 ± 1.7) | Aggression (15) | Rapid speech (16) |
Bizarre/grandiose thought content  (2.1 ± 1.9) | Thought disturbance (2.2 ± 1.6) | Irritability (4.1 ± 1.5) | Elation (4.4 ± 1.0) | Rapid speech (15) | Irritability (14) |
Thought disturbance  (1.4 ± 1.6) | Sleep disturbance (1.9 ± 1.2) | Mood lability (4.1 ± 1.1) | Increased motor activity (4.3 ± 1.1) | Grandiosity (10) | Motor activity (10) |
Sleep disturbance  (1.3 ± 1.3) | Increased motor activity (1.8 ± 1.4) | Elation (3.9 ± 1.2) | Accelerated speech (4.2 ± 1.1) | Motor activation (9) | Elevated mood (9) |
Increased goal directed/aggressive behaviour  (0.8 ± 1.1) | Increased goal directed/aggressive behaviour (1.1 ± 1.2) | Accelerated speech (3.9 ± 1.2) | Poor judgement (4.0 ± 1.6); Racing thoughts (4.0 ± 1.3) | Elevated mood (9) | Aggression (9) |